Pancho - FIG-LET-76

Code: FIG-LET-76
Mercy ID: V-02352-01
Encounter Date: 11/09/2006
Last: Figueroa
First: Leticia
DOB: 09/26/1976
County: Gwinnett
Street: 1100 Indian Trail Rd. Apt. 2328
City: Norcross
State: GA

Zip

30093-

Cell

(678) 334-3153

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Perez
Data Entry: J. Manzo